Health visitor checks: Council leaders move to protect services

Neil Puffett
Monday, September 26, 2016

The Local Government Association (LGA) has written to government in a bid to protect health visitor services from cuts in light of an ongoing government review.

Legislation requiring health visitor checks to be carried out on a mandatory basis expires in March 2017. Picture: Alex Deverill
Legislation requiring health visitor checks to be carried out on a mandatory basis expires in March 2017. Picture: Alex Deverill

The organisation, which represents councils across England, fears that the review, which could result in the mandatory requirement for local authorities to conduct health visitor family checks being scrapped, could trigger cuts to services.

It believes that if the mandatory requirement for five checks to be conducted on children up to the age of two-and-a-half is removed, hard-pressed councils could decide to divert funding to other areas that retain their mandatory status.

The chair of the LGA's children and young people board Richard Watts, and the chair of the community wellbeing board, Izzi Seccombe, have written to public health minister Nicola Blackwood requesting that "the government does not make a decision about the mandation of health visiting services in isolation".

They propose instead "a collective review of all mandated public health services delivered by local councils next year", an LGA document states.

"This is to ensure that councils are not forced to direct other public health budgets to mandated services and that within the context of reduced funding, there is local flexibility to determine how to target available resources," the document adds.

"The chairs have invited the minister to meet with them to discuss this proposal further."

The government launched a review in the summer into the future of health visitor family checks beyond March 2017, when legislation requiring them to be carried out on a mandatory basis expires.

Options put forward to ministers include renewing the mandatory requirement, amending the number of visits, or scrapping the requirement altogether.

Parents can currently expect five health checks - one before birth, one when the baby is born, one when the baby is between six and eight weeks old, one when they are between nine and 12 months old, and one when the child is aged between two and two-and-a-half.

They are seen as important ways for families to access information about a range of family health issues such as immunisation and feeding, as well as mental health and parenting support.

Cheryll Adams, executive director of the Institute of Health Visiting, has previously warned that without the mandated checks, families may not get the preventative health services they need, which could result in more children having safeguarding needs.

Lewisham Council is currently considering reducing the number of health visitor checks it provides, and targeting services towards more vulnerable families.

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